PERS Member Enrollment Form [PDF]This form should be completed for all new hires that are eligible for enrollment under NRS 286.293. This form is also used to enroll persons who have returned from leave without pay or from ineligible status, or for a retired employee electing to re-enroll under authority of AB 555. Last Updated: 11/01/2006

PERS Survivor Beneficiary Designation [PDF]This form should be completed for the designation of a beneficiary once the member has established eligibility for survivor benefits. Last Updated: 05/08/2012

Disciplinary Action

Prohibitions and Penalties [WEB]A guide for supervisors and employees that describes proper disciplinary and dismissal actions of Classified employees. Last Updated: 04/22/2014

Written Reprimand [WEB]NPD-52 form for Classified employees of the State of Nevada. Last Updated: 09/01/2011

Employee Separation

Employee Separation Checklist [DOCX]Checklist should be utilized at separation of employee. For department and employee use only. The following is a list of items that may need attention or action from the department or the employee when leaving the department or the University. Last Updated: 02/04/2015

Employee Separation Notification [WEB]Must be completed at separation of employee. Form alerts critical departments such as Human Resources, Payroll, Benefits, and Information Technology of the separation. Faculty Leave Records should be audited by the department leave keeper. A copy of the leave card/record (not leave requests) should be sent to Human Resources with the separation PAF.

Faculty Exit Questionnaire [DOC]A questionnaire for faculty to fill out upon the conclusion of their time with the University that asks about the faculty member's work experience. Last Updated: 04/20/2005

Employee Notification Sheet [PDF]Classified/Faculty - All new international employees must fill out this form. For more information go to Non-Resident Alien Manual. All individuals who are not citizens or legal permanent resident aliens of the United States are strongly recommended to attend a Nonresident Alien Employee Orientation before receiving any payment from the Nevada System of Higher Education (NSHE). During the orientation with the Nonresident Alien Tax Specialist, you will be discussing your appropriate tax withholding status and complete any additional tax withholding or exemption forms.

Faculty Hiring Packet [PDF]This is the hiring packet sent to the new faculty member. It should be used with the Faculty New Hire Checklist. Last Updated: 02/24/2015

LOA Hiring Packet [PDF]This packet is for Letter of Appointment contracts (LAC/LOA, LBC/LOB, etc.) It should be used with the Faculty New Hire Checklist or the UNR Rehire Checklist. Last Updated: 02/24/2015

Nepotism [WEB]NRS 281.210 prohibits the appointment of closely related individuals to positions in which one employee is in the line of supervision over the other employee. This regulation also applies to current employees who are appointed to different positions through promotion, transfer, voluntary demotion or any other type of appointment, and individuals who become related to each other, such as through marriage. Last Updated: 09/01/2004

Notification of New Employee Form [WEB]Must be completed upon hiring a new employee. Form alerts critical departments such as Human Resources, Payroll, Benefits, and Information Technology that there is a new hire.

Oath [PDF] [WEB]Must be completed by all Faculty at hire. Last Updated: 08/28/2013

Placement Committee Meeting Dates [DOC]This memo announces the Administrative Faculty Salary Placement Committee monthly meeting dates and deadlines for submitting agenda items. The Committee meets on the second Friday of each month in the specified meeting location. Occasionally these dates may change to fit individual schedules of the Committee members. Last Updated: 01/16/2014

Power of Attorney [DOC]Authorization for an alternate to sign specific documents in the absence of the employee. Last Updated: 04/19/1999

Pre-employment Certification [DOC]All University job candidates approved for interview are required to complete and return this form to the Search Chair prior to being interviewed. All new letters of appointment must complete and submit with new hire paperwork. Last Updated: 12/19/2005

Request for Establishment of Faculty Stipend [DOC]The purpose of this questionnaire is to gather information to be used in determining the stipend salary range for a staff position. For more information, view the Administrative Manual section # 2550.

Promotions for Post-Doctoral Fellows [DOC]Post-Doctoral fellows can be promoted from postdoctoral fellow to Research Assistant Professor if hired as a post-doctoral fellow through a search. If hired as a post-doctoral fellow under the non search hire policy, they are not eligible for promotion. Last Updated: 03/13/2008

Tenure Extension Request Form [DOCX]Used for faculty hired mid-year or for faculty who need to request an extension to their tenure clock. Enables tenure calendar to begin at the beginning of the first full year of employment or be extended for a specific period of time. Last Updated: 10/09/2014

CAT Leave - Formal Appeal to Committee on Catastrophic Leave [PDF]PAY-23B Classified employees may file an appeal if "aggrieved" by any decision of an appointing authority made pursuant to NRS 284.362 to 284.3626, may appeal the decision by filing a written notice with the Committee on Catastrophic Leave within 10 days after the date of the decision. Last Updated: 01/01/2007

Educational Leave Stipend [PDF]The purpose of educational leave is to provide classified staff within one year of completing their degree, with the opportunity for continued professional growth and new or renewed intellectual achievement. This may be accomplished through study leading to completion of a degree, whether associate, undergraduate, graduate or Ph.D., so that career effectiveness may be enhanced, occupational usefulness increased, and the institution’s personnel skills strengthened. The program requires a commitment from both the employee and the university to be effective. The Educational Leave Program is designed to represent the shared responsibility and mutual benefit reflected in these goals. Last Updated: 06/25/2005

Hourly and Overtime Form PR-29 [PDF]Form PR-29 to be used for classified, technical, or hourly paid employees, including overtime. It also contains a daily log for department wishing to maintain a daily record of hours worked. Last Updated: 10/01/2001

Evaluation Procedures for Administrative Faculty [PDF]The performance of each administrative faculty member is evaluated annually, in writing, by the immediate supervisor in accordance with the NSHE Code and relevant UNR and Unit Bylaws. The annual period is January 1 to December 31. Last Updated: 11/15/2012

Individual Performance Objective (IPO) Form for Administrative Faculty [DOCX]A thoughtful performance plan will help guide employee efforts throughout the course of the evaluation year. An Individual Performance Objective (IPO) is similar to a “Goal Statement”. The IPO allows the employee and supervisor to engage in performance planning that is specific, measurable, and relevant to the employee’s PDQ and the unit’s goals. The number of IPOs will vary from employee to employee and from department to department. Last Updated: 11/15/2012

Recruitment Tools

Diversity Advocacy Training [WEB]To watch the video, participants should enter their email on the home page and then click the icon that says Video (MP4). There is a slight delay on the start of the video.

Claim Against The State of Nevada [PDF]Use to file a tort claim against the State of Nevada for an incident or accident in which a NSHE employee or agency has caused injury or damages to another party due to a wrongful or negligent act. Last Updated: 04/01/2004

Crime and Fidelity Loss Report [PDF]URM-013 Use when there is a discovery of a financial loss or a situation that might result in a financial loss from employee dishonesty; forgery or alteration; theft, disappearance or destruction; and computer fraud Last Updated: 05/01/2010

Property Loss Report [PDF]URM-003 Use for theft or damage to NSHE property that exceeds $2,000 (Excluding Motor Vehicles) and for reporting boiler and machinery losses that exceed $2,000. Last Updated: 04/01/2010

Vehicle Accident Report [PDF]URM-002 Use when a motor vehicle accident occurs involving a third-party, whether or not there is damage or injury.

Student Employee Evaluation [PDF]This report of employee performance should be completed by the student employee’s immediate supervisor and reviewed with the student. A careful evaluation of the student’s work can function as a guide in determining a student’s work assets or liabilities; serve as a basis for commendation and pay raises; identify areas for improvement; or provide documentation for discipline. Last Updated: 01/01/2012

Educational Leave Stipend [PDF]The purpose of educational leave is to provide classified staff within one year of completing their degree, with the opportunity for continued professional growth and new or renewed intellectual achievement. This may be accomplished through study leading to completion of a degree, whether associate, undergraduate, graduate or Ph.D., so that career effectiveness may be enhanced, occupational usefulness increased, and the institution’s personnel skills strengthened. The program requires a commitment from both the employee and the university to be effective. The Educational Leave Program is designed to represent the shared responsibility and mutual benefit reflected in these goals. Last Updated: 06/25/2005

Evaluation Procedures for Administrative Faculty [PDF]The performance of each administrative faculty member is evaluated annually, in writing, by the immediate supervisor in accordance with the NSHE Code and relevant UNR and Unit Bylaws. The annual period is January 1 to December 31. Last Updated: 11/15/2012

Placement Committee Meeting Dates [DOC]This memo announces the Administrative Faculty Salary Placement Committee monthly meeting dates and deadlines for submitting agenda items. The Committee meets on the second Friday of each month in the specified meeting location. Occasionally these dates may change to fit individual schedules of the Committee members. Last Updated: 01/16/2014

Prohibitions and Penalties [WEB]A guide for supervisors and employees that describes proper disciplinary and dismissal actions of Classified employees. Last Updated: 04/22/2014

Promotions for Post-Doctoral Fellows [DOC]Post-Doctoral fellows can be promoted from postdoctoral fellow to Research Assistant Professor if hired as a post-doctoral fellow through a search. If hired as a post-doctoral fellow under the non search hire policy, they are not eligible for promotion. Last Updated: 03/13/2008

CAT Leave - Formal Appeal to Committee on Catastrophic Leave [PDF]PAY-23B Classified employees may file an appeal if "aggrieved" by any decision of an appointing authority made pursuant to NRS 284.362 to 284.3626, may appeal the decision by filing a written notice with the Committee on Catastrophic Leave within 10 days after the date of the decision. Last Updated: 01/01/2007

Claim Against The State of Nevada [PDF]Use to file a tort claim against the State of Nevada for an incident or accident in which a NSHE employee or agency has caused injury or damages to another party due to a wrongful or negligent act. Last Updated: 04/01/2004

Crime and Fidelity Loss Report [PDF]URM-013 Use when there is a discovery of a financial loss or a situation that might result in a financial loss from employee dishonesty; forgery or alteration; theft, disappearance or destruction; and computer fraud Last Updated: 05/01/2010

Direct Deposit [PDF]Faculty/Classified - Please include a voided check with this request. Deliver to Payroll at MS/ 122 or hand deliver to Ross Hall, Room 111.

Diversity Advocacy Training [WEB]To watch the video, participants should enter their email on the home page and then click the icon that says Video (MP4). There is a slight delay on the start of the video.

Employee Notification Sheet [PDF]Classified/Faculty - All new international employees must fill out this form. For more information go to Non-Resident Alien Manual. All individuals who are not citizens or legal permanent resident aliens of the United States are strongly recommended to attend a Nonresident Alien Employee Orientation before receiving any payment from the Nevada System of Higher Education (NSHE). During the orientation with the Nonresident Alien Tax Specialist, you will be discussing your appropriate tax withholding status and complete any additional tax withholding or exemption forms.

Employee Separation Checklist [DOCX]Checklist should be utilized at separation of employee. For department and employee use only. The following is a list of items that may need attention or action from the department or the employee when leaving the department or the University. Last Updated: 02/04/2015

Employee Separation Notification [WEB]Must be completed at separation of employee. Form alerts critical departments such as Human Resources, Payroll, Benefits, and Information Technology of the separation. Faculty Leave Records should be audited by the department leave keeper. A copy of the leave card/record (not leave requests) should be sent to Human Resources with the separation PAF.

Faculty Exit Questionnaire [DOC]A questionnaire for faculty to fill out upon the conclusion of their time with the University that asks about the faculty member's work experience. Last Updated: 04/20/2005

Faculty Grants-in-Aid [WEB]UNR For payment of a specified portion of the registration fee for faculty and eligible dependents. For more information on filling out the form, call (775) 784-6082.

Faculty Hiring Packet [PDF]This is the hiring packet sent to the new faculty member. It should be used with the Faculty New Hire Checklist. Last Updated: 02/24/2015

Hourly and Overtime Form PR-29 [PDF]Form PR-29 to be used for classified, technical, or hourly paid employees, including overtime. It also contains a daily log for department wishing to maintain a daily record of hours worked. Last Updated: 10/01/2001

Individual Performance Objective (IPO) Form for Administrative Faculty [DOCX]A thoughtful performance plan will help guide employee efforts throughout the course of the evaluation year. An Individual Performance Objective (IPO) is similar to a “Goal Statement”. The IPO allows the employee and supervisor to engage in performance planning that is specific, measurable, and relevant to the employee’s PDQ and the unit’s goals. The number of IPOs will vary from employee to employee and from department to department. Last Updated: 11/15/2012

Leave Choice Option Form [PDF]Used to choose leave option when an employee is eligible for temporary total disability (TTD) benefits. Last Updated: 01/01/2002

Leave Request Form [PDF]For Faculty and Classified staff. Use this form to submit a request for sick or annual leave. Last Updated: 06/01/2009

Life Insurance Beneficiary Form [WEB]The Standard Insurance Company provides life insurance for all employees covered by PEBP Benefits. Complete this form to update your beneficiary for this benefit.

LOA Hiring Packet [PDF]This packet is for Letter of Appointment contracts (LAC/LOA, LBC/LOB, etc.) It should be used with the Faculty New Hire Checklist or the UNR Rehire Checklist. Last Updated: 02/24/2015

Nepotism [WEB]NRS 281.210 prohibits the appointment of closely related individuals to positions in which one employee is in the line of supervision over the other employee. This regulation also applies to current employees who are appointed to different positions through promotion, transfer, voluntary demotion or any other type of appointment, and individuals who become related to each other, such as through marriage. Last Updated: 09/01/2004

Nepotism Form - Student [PDF]Only required if closely related individuals to position in which one employee is in the line of supervision over the other employee Last Updated: 02/16/2007

Notification of New Employee Form [WEB]Must be completed upon hiring a new employee. Form alerts critical departments such as Human Resources, Payroll, Benefits, and Information Technology that there is a new hire.

Oath [PDF] [WEB]Must be completed by all Faculty at hire. Last Updated: 08/28/2013

PERS Member Enrollment Form [PDF]This form should be completed for all new hires that are eligible for enrollment under NRS 286.293. This form is also used to enroll persons who have returned from leave without pay or from ineligible status, or for a retired employee electing to re-enroll under authority of AB 555. Last Updated: 11/01/2006

PERS Survivor Beneficiary Designation [PDF]This form should be completed for the designation of a beneficiary once the member has established eligibility for survivor benefits. Last Updated: 05/08/2012

Personal Data Form [PDF] [WEB]Completed by all employees at hire and some demographic data changes Description of Military Veteran Status (link to that form provided here). Last Updated: 06/16/2014

Power of Attorney [DOC]Authorization for an alternate to sign specific documents in the absence of the employee. Last Updated: 04/19/1999

Pre-employment Certification [DOC]All University job candidates approved for interview are required to complete and return this form to the Search Chair prior to being interviewed. All new letters of appointment must complete and submit with new hire paperwork. Last Updated: 12/19/2005

Property Loss Report [PDF]URM-003 Use for theft or damage to NSHE property that exceeds $2,000 (Excluding Motor Vehicles) and for reporting boiler and machinery losses that exceed $2,000. Last Updated: 04/01/2010

Request for Establishment of Faculty Stipend [DOC]The purpose of this questionnaire is to gather information to be used in determining the stipend salary range for a staff position. For more information, view the Administrative Manual section # 2550.

Student Employee Evaluation [PDF]This report of employee performance should be completed by the student employee’s immediate supervisor and reviewed with the student. A careful evaluation of the student’s work can function as a guide in determining a student’s work assets or liabilities; serve as a basis for commendation and pay raises; identify areas for improvement; or provide documentation for discipline. Last Updated: 01/01/2012

Tenure Extension Request Form [DOCX]Used for faculty hired mid-year or for faculty who need to request an extension to their tenure clock. Enables tenure calendar to begin at the beginning of the first full year of employment or be extended for a specific period of time. Last Updated: 10/09/2014